HomeMy WebLinkAbout8039-zFOI~M NO, 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. ~?.0.3. ...... Date ............ .J..u_~. y. .... .~ ..... , 19..7.6
THIS CERTIFIES that the building located at0.~lf. 5~r.~ .e..t ................. Street
Map No..~'.'. fi.r.i.c.e... Block No ........... Lot No, . .66 ..... Or.e. enpor, t .............
conforms substantially to the Application for Building Permit heretofore fried in this office
dated ............. ~.l.m.e....29 19. ?~. pursuant to which Building Permit No... ~03.9Z
dated ............ .J)l.3:;f.. J..., 197~.., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is . .P.~:~.Y.a.'c9.. ~h~.m.n.~i. ~ng..p. qp.~..~f$~h, f.e.r!¢ .a. ~ .~¢.c.e.~or~.s .................
The certificate is issued to .~..~.~.~.a..bgJ:.~ .D..a.v.i.? ..... (}.~/~.r ...........................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . .~J.,.R* .............................
UNDERWRITERS CERTIFICATE No. N. 2. 3.69.7.~. ..... J.B.ly....23 .... ~ 97.~. .............
HOUSE NUMBER .... 17.0. ...... Street.. Dak. Si .. ( .~?.e.e..np.o.r.t...P.O..~. 23.2) ......
Building Inspector
FO1C~ NO, ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Ne 8039 Z
Permission is hereby granted to:
Sesame ~.g..~.~.a.t..~...~..~..%.e..e..~.A.~g~qr..e..a...~..~ff..e.?..~P.~.~s A/C gliz. Davis
...... 3~....~.~.*.r.~.~...~,~w~ .....................
............. ~0~.~.~ ....... .~.:~.: .................................
to .;l~s.t,~L .,~e.~..~r :L~.a.C,L .a~l~,mlag.. Do o~..vX ~h .. f. eaa~...&.. ~e ~s ~ .................
at premises located ot .~g.,~..,..~,.~......,~.~..O...~l...?.,~..~..~, ................................................................................
l~/S Oak Bt Oree~2ort N.Y.
pursuant to application dated .................. ~T.1~t~.....2~ .................. , 19..?.~.., and approved by the
Building Inspector. ~0~J~ lteed tmderwz'iCer~ certificate for a/0.
Fee $1..~..?, ,0.,0.. ............
-- Building Inspector
BOARDiOF,IFIRE UNDERWRITERS ii i,:I I
BUREAU OE ELECTRCTY :i, ' , ~1 ....
~T~EET. NE,W,,TORK NEW YORK 'JO03 ....
~ 2nd FI ~a~ outside
FLUORESCEHT
'RJRNACE
IME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
u. eD
,~ertificate ,co¥~rp,compliance a~ the date of
of' Unusual[,en¥ironments it is advisable
t/oz' rePairs:nm~de by a qualified person.
11971 ~l"'~,l' '
in any manner; return to 'the"offi~:e of the Board if incorrect
D
may be identified
'!'0~ OF SOUTI~
lUll, DIN ~iPAIThtlNT
ApplICATION FOR BUILDING PERMIT
PLEASE HOLD FOR PICK UP
SESAME CONSTRUCTION ,SERVICES INC.
INSTRUCTIONS
Jume 29, .7...5.......C>
Date ................................................ , 19.
a. This application must be completely filled in by typewriter ac.in ink and submitted in triplicate to the Building
Inspector, with 3 sets of plans, accurate plot plan to scale. Fee accord,ng to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoini .rig. premises or public streets az
areas, and giving a detailed description of layout ofproperty must be drawn on the diagram whmh is part of this application.~'J
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon apprOVal of this application, the Build!ng Inspector will issue a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspechon throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal' or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing cnde, and regulatlom, and to
admit authorized inspectors on premises and in buildings for necessary ir-mpoctions.
~ ~tUL{f%'- /58~/''C .... (Sg ature aT applicant, or ~t~rr~,'if;'~:'orporotion) "
3450 V~..q. rans Hwy. Bohemia. NY (Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
contractor
Name of owner of premises Elizabeth Davis
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No...3...3..5..H..I. .......................................
Plumber's License No ..... ~ ....................................
Electrician's License No. 654E
Other Trade's License No .................. ; ............................
1. Location of la~nc~, on which proposed work w II be done Map No ...... 8.51. Lot No 66
...... 212 Oak Street, Green~ort, NY
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exisiting use and occupancy 1 family residence
3. Nature of work (Check which applicable): New Building.. ................. Addition .................. Alteration ......, ..........
Repair .................. Removal .................. Demolitior. .................... Other Work ....e~l~l, .~1~..~. ~, .......... . ....
(~r pt bn)
4. ~timoted Cost ..... .:1¥1~ .......................................... Fee .../ ....................................................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................
If garage, number of cars ........................................ ~ ............................... ~ ....................................................................
6. If business~ c~ommerc, i~ or mixed occupancy, specify nature and extent of each type of use ............................
7. Dimensions of existing structures, if any: Front ....2 ..................Rear .......... ~ ................. Depth ....... ~-~. ........
Height ........................ Number of Stor~es ....!~ ...........................................................................................................
Dimensi~.s of same structure with alterations or additions: Front ....................................Rear ............................
Depth ........... ; .................... Height ............................ Number of Stories ................................
8. DimensiOns of entire new construction: Front ..... l,& .......................... Rear ...... ,~ ................ Depth ......... ~ ..........
Height "~'7~ ........ Number of Stories .....................................................................................................................
9. Size of 10t: Front ......... 5~1 .......................................... Rear .............. ~ ....................... Depth ............ ~.~.~. ............
10.' Date of Purchase .~...: .................................................. Name of Former Owner ............................................ : ...........
1 1. Zone or use district in which premises are situated ...................................................................................... : ..............
12. Does proposed Construction violate any zoning law, ordinance or regulation: ......... ~ ..........................................
13. Will lot be regraded ............................ Will excess fill be removed from premises: (~) Yes ( ) No
14. Name of Owner of premJses~,~J~i~l~l~..i)~lm ............... Address ~,~..J)~l~l~..,~a.....'.el~a~o..~.~..~..-..0..~.0...~...
Name of Architect .............................................................. Address ................................ Phone No .......................
Name of Contractor ~,~gl~.~Vli...~R~,l.,...~l~0...V,41~dl~.l..~l~'t..~lJ~llllLt~ll~ No. ~J~J.'..~]~J..
PLOT DIAGPu~M
Locate clearly and distinctly all buildings, whether existing .or proposed, and indicate all set-back dimensions from
propert~ lines. Give street and block number or description according to deed, and show street names and indicate
whether interior or corner lot.
STATE OF NEW YORK, I ¢ c
COUNTY OF ................................ ~'~'~
......................... ~ll~l~lL~llJll~llllllJ~.~,..~L~l~..~l~hly sworn, deposes and says that he is the ppplicom
(Name of individual signing contract~
above named.
He is the ........................................... ~l~l~e~ .............................................................................................................
(Contractor, agent, corporate officer, etc.) ·
of said owner or owners, and is duly authorized to perform or ha~e performed the said work and to make and file
this application; that all statements contained'in this application are true to the best of his knowledge and belief; and
thor the work will be performed in'the mahner set forth in the application filed therewith.
........... .......
SIZE A B C D E F G AREA CAP
FEET FT FT ET FT FT FT FT SQ, FTI GAL.
/
16X36 16 :56 J2 8 12 4 4 576 ~'0,000
20X40 20 40 12 I0 12 6 6 ~00 Z4,000
f
,,..,,/--- P R EC A S T COPING
~ I SLOPE :o ~s~ I
8
STEPS OPTIONAL
LOCATED ON SIDE OR END PLAN
OWNERS PREFERENCE
SEE DETAIL I~l.
· fWATER LINE "~ ~
~ , 3'~o" 3'fo"
SECTION B-B~ '
PRE~ApSmN% ,~ax6 TOP RAIL I ,/.-PANELS -.~
m ~ ~ ~ STEEL ANGLE iRON
~ ~ ZX4 BOTTOM RA L
2X6 CENTER POST
Q ANCHOR RODS
/
PER PANEL -i6'
PER PANEL-ZO' PANEL ELEVATION
SKIMMERS
STAKE
RETURNS-~
'FILTER & PUMP
/fILTER
FROM
rO RETURNS
TO WASTE
PLAN OF PANELS
PIPING ARRANGEMENT
PRECAST COPING
PANEL
VINYL ~
LINER
$'- 4"
1"-2" SAND BOTTOM
-2X6 TOP RAIL
,,~5"'2X4 END STUD
,.~2X4 INTERMEDIATE
STUD
~'2X4 BOTTOM RAIL
ANCHOR ROD
DETAIL I-I
VINYL LIN ER-~
1 PA
N E L --'(~
i2X4 END STUD m
BOLTED J4 X 6" 4'-0'/
BOLTS CAD-PLATED
END ST "X co..ER
DETAIL 3- 3 "'~ POST
/
~VINYL LINER PANEL~
13"
~ / 3 BOLTS
~ BOLTED-~ CAD-PLATED
...... ::~'' ~2X4 i ~X6"
;~;;~ ~END STUO SECTION
DETAIL 2-2~ T~::;.
FIBERGLAS,"
MOLDED
I PIECE
THRU OPTIONAL STEP~;
,a~-ZX6 TOP PLATE
~ ~- 2 BOLTS
STEEL ANGLE
~ .,a~?,P"' · ' ' IRON
SECTION A-A~
NOTE : CONTRACTOR
ALL WOOD TO BE WOLMANIZED. GREAT RIVER POOL CORP.
WALKS TO BE SMOOTH-NON SKID TYPE~ SLOPED
AWAY FROM THE POOL.
WATER DISPOSAL SHALL BE LIMITED TO OWNERS OWNER:
PROPERTY TO SUIT LOCAL REGULATIONS.